Provider Demographics
NPI:1891910089
Name:COLUMBIA PRESBYTERIAN HOSPITAL
Entity Type:Organization
Organization Name:COLUMBIA PRESBYTERIAN HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:N.P.
Authorized Official - Prefix:MS
Authorized Official - First Name:MAVERLY
Authorized Official - Middle Name:VIOLA
Authorized Official - Last Name:MULLINGS
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:212-305-7600
Mailing Address - Street 1:13768 WESTGATE ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11413-2641
Mailing Address - Country:US
Mailing Address - Phone:718-978-8968
Mailing Address - Fax:212-305-8304
Practice Address - Street 1:622 W 168TH ST
Practice Address - Street 2:PH 12 RM 1272
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-3720
Practice Address - Country:US
Practice Address - Phone:212-305-7600
Practice Address - Fax:212-305-8304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-14
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF334571282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital